<!DOCTYPE html>
<html>

<head>
    <title>{$info.company}</title>
    <meta charset="utf-8">
    <meta http-equiv="X-UA-Compatible" content="IE=edge">
    <meta name="viewport" content="target-densitydpi=device-dpi, width=400px, user-scalable=no" />
    <!-- Latest compiled and minified CSS -->
    <link rel="stylesheet" href="../Public/bootstrap/css/bootstrap.css">
    <link rel="stylesheet" href="../Public/font-awesome-4.4.0/css/font-awesome.css">
    <!-- 1.7.1/1.11.1/2.1.1 -->
    <script type="text/javascript" src="../Public/plugins/jQuery/jquery-1.11.1.min.js"></script>
    <script type="text/javascript" src="../Public/bootstrap/js/bootstrap.min.js"></script>
    <link rel="stylesheet" type="text/css" href="../Public/css/bizcard.css?v=20161006002">
    <script src="../Public/plugins/citySelect/jsAddress.js"></script>
    <script type="text/javascript">
    </script>
    <style type="text/css">
    .modifyaccount {
        padding-top: 50px;
        color: #000;
    }
    
    .modifyaccount .header {
        position: fixed;
        top: 0px;
        left: 0px;
        width: 100%;
        background-color: #595757;
        height: 50px;
        display: block; z-index: 100;
    }
    
    .modifyaccount .header>div>a {
        line-height: 50px;
        font-size: 16px;
    }
    
    .modifyaccount .header>div>button {
        height: 50px;
        background-color: #595757;
        box-shadow: none;
        border: 0px;
        font-size: 16px;
    }

    .modifyaccount .form-horizontal .form-group{ border-bottom: 1px solid #cececf; padding-bottom: 0px; margin-bottom: 0px; }
    .modifyaccount .form-horizontal .form-group .control-label{ line-height: 30px; color: #595656; border-right: 1px solid #cececf; height: 50px; margin-bottom: 0px; line-height: 50px; font-weight: normal; }
    .modifyaccount .form-horizontal .form-group .form-control{ border: 0px; box-shadow: none; margin-top: 5px; font-size: 18px; height: 40px; }
    </style>
</head>

<body class="modifypage">
    <div class="container-fluid container modifyaccount" style="background-color:#fff;">
        <form action="" method="POST" class="form-horizontal" role="form" enctype="multipart/form-data">
            <div class="header">
                <div class="col-xs-3 textcenter">
                    <a href="/bizcard/account.html">返回</a>
                </div>
                <div class="col-xs-6 textcenter">
                    <a href="#">一键下单</a>
                </div>
                <div class="col-xs-3 textcenter">
                    <button type="submit" class="btn btn-info">保存</button>
                </div>
            </div>
       <!--      <div class="form-group">
                <div class="col-xs-12 textcenter">
                    <div class="photo"><img src="{$info.Avatar}"></div>
                </div>
            </div> -->
            <div class="form-group" style="display: none;">
                <label for="Avatar" class="col-xs-4 control-label np textcenter">名片电子版</label>
                <div class="col-xs-8">
                    <input type="file" name="Avatar" id="Avatar" class="form-control" title="">
                </div>
            </div>
            <div class="form-group">
                <label for="name" class="col-xs-4 control-label np textcenter">名片类型</label>
                <div class="col-xs-8">
                    <select name="ctype" id="ctype" class="form-control" required="required">
                        <option value="1">员工</option>
                        <option value="2">经理</option>
                        <option value="3">高管</option>
                    </select>
                </div>
            </div>
            <div class="form-group">
                <label for="name" class="col-xs-4 control-label np textcenter">收货人</label>
                <div class="col-xs-8">
                    <input type="text" name="shipping_name" id="shipping_name" class="form-control" value="{$info.shipping_name}" required="required" title="">
                </div>
            </div>
            <div class="form-group">
                <label for="name_en" class="col-xs-4 control-label np textcenter">联系电话</label>
                <div class="col-xs-8">
                    <input type="text" name="shipping_mobile" id="shipping_mobile" class="form-control" value="{$info.shipping_mobile}" title="">
                </div>
            </div>
            <div class="form-group">
                <label for="mobile" class="col-xs-4 control-label np textcenter">省</label>
                <div class="col-xs-8">
                   <select name="shipping_province" id="proviceId" class="form-control" required="required">
                       <option value=""></option>
                   </select>
                </div>
            </div>
            <div class="form-group">
                <label for="input-id" class="col-xs-4 control-label np textcenter">市</label>
                <div class="col-xs-8">
                    <select name="shipping_city" id="cityId" class="form-control" required="required">
                       <option value=""></option>
                   </select>
                </div>
            </div>
            <div class="form-group">
                <label for="input-id" class="col-xs-4 control-label np textcenter">县</label>
                <div class="col-xs-8">
                    <select name="shipping_distinct" id="districtId" class="form-control" required="required">
                       <option value=""></option>
                   </select>
                </div>
            </div>
            <div class="form-group">
                <label for="telephone" class="col-xs-4 control-label np textcenter">地址</label>
                <div class="col-xs-8">
                    <input type="text" name="shipping_address" id="shipping_address" class="form-control" value="{$info.shipping_address}" title="">
                </div>
            </div>
            <div class="form-group">
                <label for="email" class="col-xs-4 control-label np textcenter">金额</label>
                <div class="col-xs-8">
                    <input type="text" name="order_item_price" id="order_item_price" class="form-control" value="44" readonly="readonly">
                </div>
            </div>
            <div class="form-group">
                <label for="weixin" class="col-xs-4 control-label np textcenter">数量</label>
                <div class="col-xs-8">
                    <input type="number" name="number" id="number" class="form-control" value="1" >
                </div>
            </div>
            
        </form>
    </div>
</body>
<script type="text/javascript">
    $(function() {
        addressInit('proviceId', 'cityId', 'districtId', '北京', '', '');
    });

</script>
</html>
